WISAM MARTINI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106964

License Status

NOT RENEWED

Business

First Name

WISAM

Last Name

MARTINI

Suffix

Business Name

WISAM MARTINI MD

Original Issue Date

05/13/2002

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

TROY

State

Zip

48098

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/14/2011